Ask Mark -July-2009

    Ask Mark Laura from New Mexico writes, “I use Albuterol/Ipratropium Bromide in my nebulizer upon awakening and then within 15 minutes I use the Advair Discus. Is this the proper thing to do or should I wait at least two hours before using the Advair?” Jana from Louisiana also asks about proper spacing…

Ask Mark – May 2009

Ask Mark…… Julie from EFFORTS asks Mark why her oxygen saturation drops, even though she turns the flow up on her Helios liquid portable. Mark replies “It is apparent that Helios is not the system for you. While it is small and light weight, the setting of 4 on the pulse dose Helios is equivalent…

Ask Mark … September-2008

  Alan from EFFORTS asks Mark, “What is the difference between the medications, Perforomist and Brovana?” Mark replies, “There is a distinct and consequential  difference between Perforomist (Formoterol Fumarate) and Brovana (Aformoterol Tartrate). They are the same in that they are both long-acting, beta- agonist bronchodilators. They are also the same in that they are…

Ask Mark …May 2008

Ask Mark …   Mary Ann from Florida asks, I have heard Muscle Trainers are good for people with lung disease. Can you tell me about them?  Mark says, Inspiratory Muscle Training (IMT) is a nice and sometimes useful adjunct breathing exercise for folks with COPD. Electrical muscle studies done about 15 years ago showed…

Ask Mark – March 2008

Ask Mark Gary M. from EFFORTS asks, What are the benefits of a smoker quitting when he/she has emphysema? My guess is that shortness of breath may improve but not lung function. Are we just dragging things out? Mark answers: It has been my observation and experience with thousands of folks over decades, that quitting,…